Question 1

Ingestion of certain drugs is known to occasionally precipitate which of the following?

Accepted Answer

A) Herpetiform aphthous ulcers 
B) Geographic tongue 
C) Cicatricial pemphigoid 
D) Mucous patches 
E) None of the above 
A) Herpetiform aphthous ulcers 
B) Geographic tongue 
C) Cicatricial pemphigoid 
D) Mucous patches 
E) None of the above

Question 2

Oral candidiasis presents in which of the following ways?

Accepted Answer

A) White plaques that can be removed, leaving a red bleeding surface 
B) Red patch 
C) Red or white lesion in the midline of the tongue anterior to the circumvallate papillae 
D) Cracking and fissuring of the angles of the mouth 
E) All the above 
A) White plaques that can be removed, leaving a red bleeding surface 
B) Red patch 
C) Red or white lesion in the midline of the tongue anterior to the circumvallate papillae 
D) Cracking and fissuring of the angles of the mouth 
E) All the above

Question 3

Which of the following oral lesions has malignant potential?

Accepted Answer

A) "Snuff dipper's pouch" 
B) Leukoplakia associated with smoking 
C) Epithelial dysplasia 
D) Actinic cheilitis 
E) All the above 
A) "Snuff dipper's pouch" 
B) Leukoplakia associated with smoking 
C) Epithelial dysplasia 
D) Actinic cheilitis 
E) All the above

Question 4

A 57-year-old patient presents with bright red mucosa under her 10-year-old maxillary denture. The tissue is painful and has been present for several weeks. The remainder of her examination is negative. This is most likely which of the following?

Accepted Answer

A) Allergy to her denture material 
B) Chronic candidiasis 
C) Erythroplasia 
D) Hemangioma 
E) None of the above 
A) Allergy to her denture material 
B) Chronic candidiasis 
C) Erythroplasia 
D) Hemangioma 
E) None of the above

Question 5

The clinical differential diagnosis for chronic red gingival patches would include:

Accepted Answer

A) Atrophic lichen planus 
B) Contact hypersensitivity 
C) Lupus erythematosus 
D) Chronic candidiasis 
E) All the above 
A) Atrophic lichen planus 
B) Contact hypersensitivity 
C) Lupus erythematosus 
D) Chronic candidiasis 
E) All the above

Question 6

A 47-year-old woman presented with painful ulcers and white lesions on her gingiva, tongue, and buccal mucosa of 6 months' duration. Biopsy of one of the white areas showed hyperkeratosis, basal cell destruction, and an intense lymphocytic infiltrate subjacent to the epithelium. This patient most likely has:

Accepted Answer

A) Lichen planus 
B) Mucous membrane pemphigoid 
C) Pemphigus vulgaris 
D) White sponge nevus 
E) Behçet's syndrome 
A) Lichen planus 
B) Mucous membrane pemphigoid 
C) Pemphigus vulgaris 
D) White sponge nevus 
E) Behçet's syndrome

Question 7

All the following oral diseases have a relatively short (days to weeks) self-limited course except:

Accepted Answer

A) Secondary herpes 
B) Erythema multiforme 
C) Lichen planus 
D) Aphthous ulcers 
E) Herpes zoster 
A) Secondary herpes 
B) Erythema multiforme 
C) Lichen planus 
D) Aphthous ulcers 
E) Herpes zoster

Question 8

Fluconazole is a systemically taken drug that is particularly effective in the treatment of which of the following?

Accepted Answer

A) Candidiasis 
B) Syphilis 
C) Actinomycosis 
D) Tuberculosis 
E) Zoster 
A) Candidiasis 
B) Syphilis 
C) Actinomycosis 
D) Tuberculosis 
E) Zoster

Question 9

Purple to red pruritic patches on lower legs and forearms are the typical cutaneous manifestation of which of the following?

Accepted Answer

A) Mucocutaneous candidiasis 
B) Lupus erythematosus 
C) Hereditary benign intraepithelial dyskeratosis 
D) Lichen planus 
E) Erythema multiforme 
A) Mucocutaneous candidiasis 
B) Lupus erythematosus 
C) Hereditary benign intraepithelial dyskeratosis 
D) Lichen planus 
E) Erythema multiforme

Question 10

Which of the following microscopic features is responsible for the clinical appearance of Wickham's striae?

Accepted Answer

A) Fibrin deposition 
B) Reduced vascularity 
C) Acantholysis 
D) Hyperkeratosis 
E) Intracellular keratinocyte edema 
A) Fibrin deposition 
B) Reduced vascularity 
C) Acantholysis 
D) Hyperkeratosis 
E) Intracellular keratinocyte edema

Question 11

Clinical diagnosis of candidiasis is confirmed by:

Accepted Answer

A) Characteristic odor 
B) Response to injection of vitamin B12 
C) Response to administration of prednisone 
D) Demonstration of mycelia and spores in scrapings 
E) Demonstration of sulfur granules in exudates 
A) Characteristic odor 
B) Response to injection of vitamin B12 
C) Response to administration of prednisone 
D) Demonstration of mycelia and spores in scrapings 
E) Demonstration of sulfur granules in exudates

Question 12

Epstein-Barr virus is responsible for which of the following?

Accepted Answer

A) Hereditary benign intraepithelial dyskeratosis 
B) Hairy leukoplakia 
C) Hairy tongue 
D) Oral squamous cell carcinoma 
E) None of the above 
A) Hereditary benign intraepithelial dyskeratosis 
B) Hairy leukoplakia 
C) Hairy tongue 
D) Oral squamous cell carcinoma 
E) None of the above

Question 13

Which of the following clinical abnormalities in a white lesion associated with the use of smokeless tobacco would indicate the need for biopsy?

Accepted Answer

A) Mass 
B) Induration 
C) Ulceration 
D) Red patch 
E) All the above 
A) Mass 
B) Induration 
C) Ulceration 
D) Red patch 
E) All the above

Question 14

Lupus erythematosus is caused by which of the following?

Accepted Answer

A) Coxsackie virus 
B) Herpes simplex virus 
C) Immunodeficiency 
D) Vitamin A deficiency 
E) Autoimmunity 
A) Coxsackie virus 
B) Herpes simplex virus 
C) Immunodeficiency 
D) Vitamin A deficiency 
E) Autoimmunity

Question 15

Opaque white lesions cover right and left buccal mucosae, vestibules, and floor of the mouth of a 15-year-old girl. The lesions do not rub off and are asymptomatic. Biopsy showed intracellular edema and perinuclear condensation of keratin in keratinocytes. There is no inflammatory cell infiltrate of submucosa. This description suggests which of the following?

Accepted Answer

A) Leukoedema 
B) Cheek chewing 
C) Idiopathic leukoplakia 
D) Lichen planus 
E) White sponge nevus 
A) Leukoedema 
B) Cheek chewing 
C) Idiopathic leukoplakia 
D) Lichen planus 
E) White sponge nevus

Question 16

Bilateral buccal mucosa white lesions would least likely be seen in which of the following?

Accepted Answer

A) Lichen planus 
B) Cheek chewing 
C) Hereditary benign intraepithelial dyskeratosis 
D) White sponge nevus 
E) Idiopathic leukoplakia 
A) Lichen planus 
B) Cheek chewing 
C) Hereditary benign intraepithelial dyskeratosis 
D) White sponge nevus 
E) Idiopathic leukoplakia

Question 17

Candidiasis is also known by which of the following synonyms?

Accepted Answer

A) Thrush 
B) Candidosis 
C) Perleche 
D) Yeast infection 
E) All the above 
A) Thrush 
B) Candidosis 
C) Perleche 
D) Yeast infection 
E) All the above

Question 18

Which of the following is an autosomal-dominant disease?

Accepted Answer

A) White sponge nevus 
B) Geographic tongue 
C) Hemangioma 
D) Pemphigus vulgaris 
E) Median rhomboid glossitis 
A) White sponge nevus 
B) Geographic tongue 
C) Hemangioma 
D) Pemphigus vulgaris 
E) Median rhomboid glossitis

Question 19

A 55-year-old man presents with a 1 ´ 1 cm white lesion of his edentulous alveolar ridge. The clinical differential diagnosis should include:

Accepted Answer

A) Lichen planus 
B) Hairy leukoplakia 
C) Ectopic lymphoid tissue 
D) Frictional hyperkeratosis 
E) All the above 
A) Lichen planus 
B) Hairy leukoplakia 
C) Ectopic lymphoid tissue 
D) Frictional hyperkeratosis 
E) All the above

Question 20

Biopsy of a white lesion from the lower lip of an 82-year-old man showed hyperkeratosis, basophilic change of collagen, numerous telangiectasias, and epithelial atrophy. This is indicative of which of the following:

Accepted Answer

A) Lip biting 
B) Squamous cell carcinoma 
C) Idiopathic leukoplakia 
D) Lichen planus 
E) Actinic cheilitis 
A) Lip biting 
B) Squamous cell carcinoma 
C) Idiopathic leukoplakia 
D) Lichen planus 
E) Actinic cheilitis

Ingestion of certain drugs is known to occasionally precipitate which of the following?

Oral candidiasis presents in which of the following ways?

Which of the following oral lesions has malignant potential?

A 57-year-old patient presents with bright red mucosa under her 10-year-old maxillary denture. The tissue is painful and has been present for several weeks. The remainder of her examination is negative. This is most likely which of the following?

The clinical differential diagnosis for chronic red gingival patches would include:

All the following oral diseases have a relatively short (days to weeks) self-limited course except:

Fluconazole is a systemically taken drug that is particularly effective in the treatment of which of the following?

Purple to red pruritic patches on lower legs and forearms are the typical cutaneous manifestation of which of the following?

Which of the following microscopic features is responsible for the clinical appearance of Wickham's striae?

Clinical diagnosis of candidiasis is confirmed by:

Epstein-Barr virus is responsible for which of the following?

Which of the following clinical abnormalities in a white lesion associated with the use of smokeless tobacco would indicate the need for biopsy?

Lupus erythematosus is caused by which of the following?

Bilateral buccal mucosa white lesions would least likely be seen in which of the following?

Candidiasis is also known by which of the following synonyms?

Which of the following is an autosomal-dominant disease?

A 55-year-old man presents with a 1 ´ 1 cm white lesion of his edentulous alveolar ridge. The clinical differential diagnosis should include:

Biopsy of a white lesion from the lower lip of an 82-year-old man showed hyperkeratosis, basophilic change of collagen, numerous telangiectasias, and epithelial atrophy. This is indicative of which of the following:

Vesiculobullous Diseases

Ulcerative Conditions

Red-Blue Lesions

Pigmented Lesions

Verrucal-Papillary Lesions

Connective Tissue Lesions

Salivary Gland Diseases

Lymphoid Lesions

Cysts of the Jaws and Neck

Odontogenic Tumors

Benign Nonodontogenic Tumors

Inflammatory Jaw Lesions

Malignancies of the Jaws

Metabolic and Genetic Diseases

Abnormalities of Teeth

Filters

Exam 3: White Lesions

Ingestion of certain drugs is known to occasionally precipitate which of the following?

Oral candidiasis presents in which of the following ways?

Which of the following oral lesions has malignant potential?

A 57-year-old patient presents with bright red mucosa under her 10-year-old maxillary denture. The tissue is painful and has been present for several weeks. The remainder of her examination is negative. This is most likely which of the following?

The clinical differential diagnosis for chronic red gingival patches would include:

All the following oral diseases have a relatively short (days to weeks) self-limited course except:

Fluconazole is a systemically taken drug that is particularly effective in the treatment of which of the following?

Purple to red pruritic patches on lower legs and forearms are the typical cutaneous manifestation of which of the following?

Which of the following microscopic features is responsible for the clinical appearance of Wickham's striae?

Clinical diagnosis of candidiasis is confirmed by:

Epstein-Barr virus is responsible for which of the following?

Which of the following clinical abnormalities in a white lesion associated with the use of smokeless tobacco would indicate the need for biopsy?

Lupus erythematosus is caused by which of the following?

Bilateral buccal mucosa white lesions would least likely be seen in which of the following?

Candidiasis is also known by which of the following synonyms?

Which of the following is an autosomal-dominant disease?

A 55-year-old man presents with a 1 ´ 1 cm white lesion of his edentulous alveolar ridge. The clinical differential diagnosis should include:

Biopsy of a white lesion from the lower lip of an 82-year-old man showed hyperkeratosis, basophilic change of collagen, numerous telangiectasias, and epithelial atrophy. This is indicative of which of the following:

Vesiculobullous Diseases

Ulcerative Conditions

Red-Blue Lesions

Pigmented Lesions

Verrucal-Papillary Lesions

Connective Tissue Lesions

Salivary Gland Diseases

Lymphoid Lesions

Cysts of the Jaws and Neck

Odontogenic Tumors

Benign Nonodontogenic Tumors

Inflammatory Jaw Lesions

Malignancies of the Jaws

Metabolic and Genetic Diseases

Abnormalities of Teeth

Filters